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Contact Information

GARY VANN, PhD
13561 SOUTH WEST BAYSHORE DR.
STE. 317
TRAVERSE CITY, MI49684
 Phone: 231-947-2990
 Fax: 231-947-5862
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GARY VANN · (Male)

NPI # 1376634519
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/27/2006
Last updated 11/05/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 008156
  • MI Other 680B84609 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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